Evidence map›Paper›PMID 38954216›Full record

SynthesisPediatric surgery international2024

Recurrence of anterior congenital diaphragmatic hernia after laparoscopic repair in children.

Mamane Oumarou, Nicoleta Panait, Eliane El Khoury, Zeinab Hamidou, Jessica Pinol, Patricia Barila Lompe, Thierry Merrot, Alice Faure, Anne Dariel

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mamane OumarouDepartment of Pediatric Surgery, Hôpital Timone Enfants, Assistance Publique des Hôpitaux de Marseille, 264, Rue Saint Pierre, 13385, Marseille, France.
Nicoleta PanaitDepartment of Pediatric Surgery, Hôpital Timone Enfants, Assistance Publique des Hôpitaux de Marseille, 264, Rue Saint Pierre, 13385, Marseille, France.
Eliane El KhouryDepartment of Pediatric Surgery, Hôpital Timone Enfants, Assistance Publique des Hôpitaux de Marseille, 264, Rue Saint Pierre, 13385, Marseille, France.
Zeinab HamidouDepartment of Epidemiology and Health Economy, Assistance Publique des Hôpitaux de Marseille, Marseille, France.
Jessica PinolDepartment of Pediatric Surgery, Hôpital Timone Enfants, Assistance Publique des Hôpitaux de Marseille, 264, Rue Saint Pierre, 13385, Marseille, France.
Patricia Barila LompeDepartment of Pediatric Surgery, Hôpital Timone Enfants, Assistance Publique des Hôpitaux de Marseille, 264, Rue Saint Pierre, 13385, Marseille, France.
Thierry MerrotDepartment of Pediatric Surgery, Hôpital Timone Enfants, Assistance Publique des Hôpitaux de Marseille, 264, Rue Saint Pierre, 13385, Marseille, France.
Alice FaureDepartment of Pediatric Surgery, Hôpital Timone Enfants, Assistance Publique des Hôpitaux de Marseille, 264, Rue Saint Pierre, 13385, Marseille, France.
Anne DarielDepartment of Pediatric Surgery, Hôpital Timone Enfants, Assistance Publique des Hôpitaux de Marseille, 264, Rue Saint Pierre, 13385, Marseille, France. anne_dariel@yahoo.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report our experience with laparoscopic repair of anterior congenital diaphragmatic hernia (CDH) using extracorporeal subcutaneous knot tying and to define recurrence risk factors.

methodsThis retrospective unicentric study included children who underwent laparoscopic repair of anterior CDH without patch, using extracorporeal knot tying of sutures passed through the full thickness of the abdominal wall (2013-2020). A systematic review of the literature with meta-analysis was performed using the MEDLINE database since 2000.

resultsEight children were included (12 months [1-183]; 10.6 kg [3.6-65]). Among the two patients with Down syndrome, one with previous cardiac surgery had a recurrence at 17 months postoperatively. In our systematic review (26 articles), among the 156 patients included, 10 had a recurrence (none with patch). Recurrence was statistically more frequent in patients with Down syndrome (19.4%) than without (2.5%) (p < 0.0001), and when absorbable sutures were used (50%) instead of non-absorbable sutures (5.3%) (p < 0.0001).

conclusionLaparoscopic repair of anterior CDH without patch was a safe and efficient surgical approach in our patients. The use of a non-absorbable prosthetic patch should be specifically discussed in anterior CDH associated with Down syndrome and/or in case of previous cardiac surgery to perform a diaphragmatic tension-free closure.

Indexed as

Hernias, Diaphragmatic, CongenitalHerniorrhaphyLaparoscopyRecurrenceAdolescentChildChild, PreschoolDown SyndromeFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesRisk FactorsSuture TechniquesAnterior congenital diaphragmatic herniaChildrenLaparoscopyMinimally invasive surgeryMorgagni herniaRecurrence

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.